Baptism Request Form In the United Methodist Church, we believe in the sacrament of Holy Baptism. If you are interested in being baptized or walking alongside a loved one in this sacrament, please fill out the form below. Name of Person to be Baptized * First, Middle, and Last Name Name of Parent 1 (for baptism certificate) First Name Last Name Name of Parent 2 (for baptism certificate) First Name Last Name Date of Birth of Person to be Baptized (MM/DD/YYYY) * Place of Birth of Person to be Baptized * Name of hospital, city, and state Phone Number * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address * Name of Godparent 1 (If Applicable) First Name Last Name Name of Godparent 2 (If Applicable) First Name Last Name Service Choice * Please select which worship service you would like to have this baptism take place in. Chapel Worship (8:30 am) Sanctuary Worship (10:00 am) Harbor Worship (11:25 am) Pastor Preference Reverend Dan Bogre Pastor Paul Bennett No Preference Preferential Dates for Baptism * Please write below your top preferences (at least 3) for when you would like this baptism to be performed. No first Sundays of the month please. Comments List siblings if applicable Please indicate if they were also baptized at RRUMC. Thank you!
